Peptic ulcer of the duodenum and stomach
Peptic ulcer disease - a chronic relapsing disease, which is characterized by the development of the ulcer in the stomach or in the duodenum. The main factor in the development of peptic ulcer -- the prevalence of acid-peptic aggression of protective properties of the mucous membrane of the stomach or duodenum, family history, the presence of infection (contamination) Helicobacter pylori. This microorganism may persist in the human body during, and often a lifetime. Because of their ability to live it causes chronic inflammation in the mucous membrane of the antrum, and against this background can develop recurring erosive and ulcerative processes in the stomach and duodenum.
Manifestations of peptic ulcer
Clinical manifestations of peptic ulcer disease depends on the location of the ulcer - stomach or duodenum. In gastric ulcer pain is most often observed, arising out of or aggravated soon after ingestion. Localization of pain - in the upper abdomen, slightly above the navel on the midline of the abdomen. The pain is accompanied by nausea, belch air, rotten or eaten food. Often preceded by nausea pain attacks, He is stubborn, amplified postprandial, accompanied by vomiting. Sometimes it can be observed regurgitation, heartburn, weight loss.
When duodenal ulcer observed pain on an empty stomach (Hungry), in the early morning hours, at night or in 1.5-2 hours after ingestion. The pain is intense, different persistence, intensity. Localization of pain - above and right of the navel. Pain accompanied by heartburn, regurgitation air, sometimes bitterly,. Nausea is rarer, it often precedes vomiting. Vomiting brings relief to the patient, often observed after 2-2.5 hours after a meal. In uncomplicated forms of peptic ulcer vomit acidic gastric juice with a dash of food. Appetite is not reduced, sometimes there is even its increase. In some patients there constipation, due to the sparing diet food, restriction of motor activity,
Complications of peptic ulcer
The most frequent complication - the gastro-intestinal bleeding. Causes, cause of bleeding, - The physical and emotional stress, taking certain medications (salicilaty, hormones), sometimes it occurs for no apparent precipitating factors. The beginning of the bleeding is preceded by increased abdominal pain. Patients will complain of dizziness, weakness, drowsiness. Appears much pallor. In some cases, you can watch the bloody vomiting, tarry (black) chair.
A dangerous complication - perforation (ulcer perforation) and penetration(penetration of ulcers in the adjacent organs), Perforation and penetration may occur against a background of severe recurrent course of ulcer disease, after considerable nervous strain or physical exertion.
Clinical manifestations of peptic ulcer
Attacks of severe pain in the abdomen, possible loss of consciousness against the backdrop of a painful shock, vomiting, not bringing relief.
Diagnosis of peptic ulcer
The main method of diagnosis - fibrogastro-duodenoscopy. Sometimes an X-ray / but it is less informative.
Treatment is carried out in a hospital under the supervision of specialists. Complicated forms of peptic ulcer require surgery. In the first two weeks of hospitalization appointed strict bed rest, special diet food. Used stol№ 1a (maximum light diet with a strict restriction mechanical, thermal and chemical irritants). Eating is recommended 5-6 times a day in a warm shabby. The diet should be balanced in protein, since protein, from food, regeneration processes (restoration) mucosa.
Drug therapy complex, long, appointed expert. In subsequent sections of the book will be presented Phytotherapy, nemedikamentoznaya therapy, used for the prevention of relapse of peptic ulcer.
